Individual
LEE ANN CONDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ACNP
Contact information
Practice address
1717 HWY 59 S BYPASS, LIVINGSTON, TX 77351
(936) 329-8326
(936) 329-8332
Mailing address
1704 CIMMARRON ST, LUFKIN, TX 75904-4634
(936) 414-2404
(936) 329-8332
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP112378
TX
363LA2100X
Acute Care Nurse Practitioner
533514
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174262901
—
TX
01
—
8N8592
BLUECROSS AND BLUESHIELD OF TEXAS
TX
Enumeration date
12/15/2005
Last updated
05/09/2018
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